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CLEANER APPLICATION
APPLY TODAY - INSTANT MAID SERVICE
Independent Contractor Application (All Fields Required)
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Best Time To Call:
*
Mornings
Afternoons
Evenings
Anytime
Available Start Date:
*
Availability
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Current Employment
*
Employed
Unemployed
Self-Employed
Student
Are you pet friendly?:
*
Yes
No
Hoe many clients do you currently have?:
*
0
1-3
4-8
9+
How Many Years of Professional Cleaning Experience?:
*
Please enter a value between
1
and
50
.
Who Did You Work For Professionally Cleaning?:
*
Do You Have a Valid Driver's License & SSN?:
*
Yes
No
Are You Authorized to Work in US?:
*
Yes
No
Are You Fluent in English?:
*
Yes
No
Would You Pass a Criminal Background Check?:
*
Yes
No
Do You have a Smart Phone with Internet & GPS?:
*
Yes
No
Do You Have Your Own Vehicle?:
*
Yes
No
Do You Have Your Own Cleaning Supplies?:
*
Yes
No
Supplies include vacuum and mop/broom.
How Many Miles Would You Be Willing to Drive to a Client?:
*
15 Mile Radius
25 Mile Radius
35 Mile Radius
45 Mile Radius
55 Mile Radius
The bigger the radius available the more jobs assigned.
Proper House Cleaning Questionnaire
What's The Best Place To Empty Dirty Mop Water?:
*
Bathroom sink
Outside
Shower Drain
Toilet
Can You Spray All Purpose Cleaner on Electronics?:
*
Yes
No
What is the Effect of Abrasive Cleaners on Kitchen Counters?:
*
No Effect
Improves Shines
Damages Surfaces
A client says you missed some areas in a bedroom. What would you say to the client?: